Efficacy of Proprioceptive Neuromuscular Facilitation (Physiotherapy Technique) on Forward Head Posture in Patient of Parkinsons Disease.

Recruiting

Conditions: Secondary parkinsonism, unspecified,

Registration Number: CTRI/2019/12/022415

Lead Sponsor: Department of Physiotherapy

Brief Summary: Parkinsonâ€™sdisease is second most common neurodegenerative disease. Parkinsonâ€™s disease orParalysis was first described as â€œthe shaking palsyâ€ by James Parkinson in1817. It is chronic, progressive degenerative disorder of nervous systemcharacterised by cardinal features of rigidity, akinesia, bradykinesia, tremorsand postural instability.About 5 million people are affected worldwide.Prevalence rises from 1% with those with 60years age to 4% in population over80 years.

Thedisease is slightly more frequent in men than women. The prevalence of thedisease is generally accepted to range from 100 to 200 per 100,000 people andthe annual incidence is thought to be 15 per 100,000.

Parkinsondisease is a disorder of the dopamine producing neuron of the substantianigrain the basal ganglia. The substantianigra is subcortical grey matter thatcontain pigmented neurons. The severity of loss of dopamine correlated wellwith the amount of movement slowness or bredykinesia exhibited by the patients.Loss of dopamine neurons and the production of lewy bodies within the pigmentedsubstantianigra neurons are hallmarks of idiopathic Parkinson disease.

Fourmotor symptoms are considered cardinal in PD: tremor, rigidity, slowness ofmovement, and postural instability. The range of other motor symptoms includeposture and gait disturbances such as a forward-flexed posture with a typicalfestinating gait.1 Forward head posture (FHP) is the anteriorpositioning of the cervical spine. It is the most common deviation from thenormal curvature of the cervical spine. It involves an excessive anteriorposition of the head in relation to the theoretical plumb line perpendicular tothe body centre of gravity. In forward head posture there is extension of uppercervical spine, flattening and flexion of lower cervical spine with an increasein lordsis and rounding of the upper back and elevation and protraction of theshoulders.4Physiotherapy treatment i.e. PNF and resisted exercise isbetter to improve range of motion and forward head posture in Parkinsonâ€™spatients.

**Need of the study:**

Parkinsonâ€™sdisease affects 1â€“2 per 1000 of the population at any time. PD prevalence isincreasing with age and PD affects 1% of the population above 60 years. Theposture in Parkinsonâ€™s disease deteriorate. Forward head and stooped posture isvery common in these patients. Pharmacological treatment doesnâ€™t cureposturalinstability. Hence physiotherapy correction i.e. strengthening exercises andPNF techniques are very effective in treatment of forward head posture.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 20

Inclusion Criteria

Patient suffering from Parkinson disease with forward head posture.

Exclusion Criteria

Patients with Metabolic disorders Heart disease Congenital anomaly of cervical spine Uncooperative patient.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Craniovertebral angle	1 Month

Secondary Outcome Measures

Name	Time	Method
not available	not available

Trial Locations

Locations (1): Department of Physiotherapy
🇮🇳
Hisar, HARYANA, India
Department of Physiotherapy
🇮🇳Hisar, HARYANA, India
Ms Kritika
Principal investigator
8053166205
kritikabodwal95@gmail.com